DR. JORDAN JESSIE HOUSLEY DSW
NPI 1013716091
Social Worker in Montgomery, TX

Active since March 11, 2025Opted out of Medicare · through Jan 28, 2028
12119 BRIGHTWOOD DR, MONTGOMERY, TX 77356(218) 343-5629 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jordan Jessie Housley Dsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN JESSIE HOUSLEY DSW (NPI 1013716091) is an individual social worker in Montgomery, Texas, licensed in Texas (107771) and active in the NPI registry since March 2025. She has opted out of Medicare through January 28, 2028.

NPPES Registry Identity

NPI1013716091
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDR. JORDAN JESSIE HOUSLEYCredential: DSW
Location Address12119 BRIGHTWOOD DRMontgomery, TX 77356-8930
Mailing Address12119 Brightwood DrMontgomery, TX 77356-8930
Sole ProprietorYes
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
NPI 1013716091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in TX · 107771
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
12119 BRIGHTWOOD DR, Montgomery, TX 77356

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jordan Jessie Housley Dsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 28, 2026 through January 28, 2028.

Opt-Out Effective DateJanuary 28, 2026
Opt-Out In Effect ThroughJanuary 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Housley's NPI number?

The NPI number for Jordan Housley is 1013716091. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Jordan Housley located?

Jordan Housley practices at 12119 Brightwood Dr, Montgomery, TX 77356. The listed phone number is (218) 343-5629.

What is Jordan Housley's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jordan Housley enrolled in Medicare?

No. Jordan Housley has opted out of Medicare through January 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jordan Housley was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.